{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T08:50:05Z","timestamp":1772268605554,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T00:00:00Z","timestamp":1654646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A growing proportion of transplant donors and recipients have a history of COVID\u201019 infection. This study sought to characterize clinical practice after recipient or donor COVID\u201019 infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online survey was distributed to heart transplant clinicians through a professional society message board and social media. Responses were collected between September 29 and November 5, 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 222 health care professionals (68% transplant cardiologists, 22% transplant surgeons, 10% other) across diverse geographic regions who completed the survey. While there was significant variation in donor acceptance, as it relates to past and current COVID\u201019 infection, the respondents were fairly cautious: 28% would not typically accept a donor with a history of COVID\u201019 regardless of the infection course and\u00a0&gt;\u00a080% would not accept donors who had evidence of myocardial dysfunction during past COVID\u201019 infection, or who died of COVID\u201019 or its complications. The timing of candidate reactivation on the waiting list after COVID\u201019 infection also varied and often diverged from scenarios addressed by social guidelines. Eighty\u2010one percent of the respondents felt COVID\u201019 vaccine should be mandatory before transplant, but this rate varied by geographic region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results reflect evolving experience of the heart transplant field at a time of lack of high\u2010quality evidence. In the absence of longer\u2010term outcome data for donors and transplant candidates with history of COVID\u201019 infection, clinicians remain cautious; however, this approach will likely need to be refined as an increasing proportion of the population will continue to be infected with COVID\u201019.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.14733","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T09:54:10Z","timestamp":1654163650000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Medical decisions in organ donors and heart transplant candidates with history of COVID\u201019 infection: An international practice survey"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2836-7600","authenticated-orcid":false,"given":"Ben","family":"Sadeh","sequence":"first","affiliation":[{"name":"Department of Cardiology Tel Aviv Medical Center  Tel Aviv 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Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rami","family":"Alharethi","sequence":"additional","affiliation":[{"name":"Intermountain Medical Center Heart Institute  Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Morejon\u2010Barragan","sequence":"additional","affiliation":[{"name":"Heart Failure and Transplantation Unit Cardiac Critical Care Unit Clinica Guayaquil  Guayaquil Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Hanff","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of Utah School of Medicine  Salt Lake City Utah 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